Muscle fibre composition, fibre areas and enzyme activities were determined in muscle biopsy samples (m. vastus lateralis) from both legs of 34 clinically healthy men and 31 clinically healthy women (aged 20-70 years). No significant difference was found in any of the three variables between the right and left leg. In the whole material the mean percentage of type I fibres was significantly higher in men, whereas that of type IIA fibres was significantly higher in women (men 58% I, 27% IIA, 13% IIB, women 51% I, 32% IIA, 15% IIB). The areas of all fibre types were significantly larger in men than in women. When the subjects were divided into age groups of 20, 30, 40, 50, 60 and 70 years, respectively, the fibre composition was found to be similar at different ages in both men and women, but changes in fibre areas were observed. The 70-year-old men and women showed significantly reduced areas of both type I and II fibres compared with the 60-year-olds. Only minor changes were seen in enzyme activities in relation to age. Men of the youngest age group had significantly higher levels of citrate synthase activity than those of the older age groups. Similar findings were seen for women except for the 60-year-olds, who had as high activity levels of citrate synthase as the 20-year-olds.

Comparisons have been made between torque (isometric and isokinetic), electrophysiological (SFEMG, Macro EMG), and muscle fiber characteristics in the vastus lateralis muscle of both legs in healthy subjects aged between 20 and 70 years. Torque was greater in males and decreased with age in both sexes. Multifactorial analysis showed a positive correlation between torque, body surface area, and mean fiber area. These variables explained only about 30-40% of the torque changes. The electrophysiological parameters (Marco EMG amplitudes and fiber density) revealed evidence of reinnervation, indicating preceeding denervation and therefore loss of motor units. It was concluded that this fall out of motor units also contributes to the reduction in torque, when compensatory reinnervation begins to fall. Other factors, such as reduction in muscle fiber contractility, metabolic factors, and central factors, may also play a role in age-related reduction in torque.

Isokinetic torque of the knee and elbow during maximal extension and flexion and isometric strength of the handgrip, as well as balance and some circulatory variables, were tested in 37 patients one year after an acute stroke. Correlations with locomotion, household work and other activities of daily living (ADL) were tested. Male patients who had received special activation on the ward for up to 4 weeks after the stroke showed a significantly smaller difference in strength between the paretic and non-paretic knee at an angular velocity of 90 degrees per second than males who had received only routine activation on their ward. There was a high correlation between locomotion and the isokinetic torque of the paretic knee and also between locomotion and balance. The correlations between elbow strength and ADL functions were weaker. It was concluded that the evaluation of the isokinetic muscle torque of the knee and the balance tests are valid instruments for estimating functional capacity after a stroke.

The quadriceps muscles from 20- 30- and 70-year-old clinically healthy men and women were studied regarding maximal isometric and isokinetic muscle torque in Newton metres (Nm), morphology and enzyme activity. Biopsy specimens were taken from the vastus lateralis muscle and freeze-dried, and individual fibres were dissected out and identified as type I or type II. The activities of citrate synthase (CS), 3-OHacyl-coA dehydrogenase (HAD), lactate dehydrogenase (LDH), myokinase (MK) and creatine phosphokinase (CPK) were determined in pools of type I and type II fibres. In both age groups a higher oxidative (CS, HAD, 1.3-1.5 x) and a lower glycolytic (LDH, 0.7 x) capacity was found in type I than in type II fibres. The myokinase activity was higher in type II (2 x) than in type I, whereas CPK activity was similar. The young men showed higher CS activity in both type I and type II fibres (1.5 x) and higher CPK activity in type I fibres (1.4 x) than the young women. There were only minor changes in oxidative or glycolytic capacities in relation to age. Myokinase was the only enzyme that decreased markedly with age in both pools of fibre types. Type II fibre area and mean fibre area correlated significantly to muscle torque in both sexes. In men, myokinase activity in type II fibres was significantly correlated to type II fibre area and to maximal muscle torque.

An investigation was made of the influence of age and sex on peak muscle torque in knee extension and flexion during maximal isokinetic and isometric contraction. The study was performed on both legs of 139 clinically healthy men and 141 clinically healthy women aged 20, 30, 40, 50, 60 or 70 years. Maximum knee extension and flexion muscle torque (Newtonmetre, Nm) was measured isokinetically at various angles of velocity (12, 90 and 150 degrees/s) and isometrically under standardized conditions (Cybex II). No significant differences were found between the right and the left leg in the whole material. Muscle torque was higher in men than in women in all age groups (p less than 0.001). Both isokinetic and isometric torque decreased with age in both sexes. Isokinetic torque decreased significantly (p less than 0.05) between 20 and 30 years of age in men and between 40 and 50 years of age in women (at all velocities studied; p less than 0.05). A significant decrease (p less than 0.05) was found between the ages of 60 and 70 years in both sexes. Maximum isometric torque showed a significant decrease (p less than 0.05) between 60 and 70 years in men and women. There were no significant differences in isokinetic or isometric torque between moderately active and inactive men or women. Significant correlations were found between muscle torque and body weight, height and body surface area.